AB 2665 California Assembly · 2025-2026 Regular Session

Medi-Cal funding: County of Inyo.

Summary
Existing law establishes the Medi-Cal program, which is administered by the State Department of Health Care Services and under which qualified low-income individuals receive health care services. The Medi-Cal program is in part governed by, and funded pursuant to, federal Medicaid program provisions. Under existing law, a critical access hospital is eligible for supplemental payments for Medi-Cal covered outpatient services rendered to Medi-Cal eligible persons, as specified. This bill would appropriate $5,500,000 from the General Fund to the department for the purpose of providing supplemental payments for services covered under the Medi-Cal program, with the stated intent that these payments facilitate the maintenance of operations of the health care system in the County of Inyo and thereby prevent the closure of hospitals within the county. The bill would require that, of the appropriated moneys, $2,500,000 be distributed to the Northern Inyo Healthcare District and $3,000,0000 be distributed to the Southern Inyo Healthcare District. Under the bill, these payments would be in addition to any supplemental payments received by a hospital within the county pursuant to the above-described provision regarding critical access hospitals. This bill would make legislative findings and declarations as to the necessity of a special statute for the County of Inyo.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 20, 2026 Last action Apr 6, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

02/20/26 - Introduced 03/27/26 - Amended Assembly · 5 edits · Mar 27, 2026
MODERATE
The amended version of AB 2665 adds a new appropriation of $5.5 million from the General Fund to provide supplemental Medi-Cal payments to two healthcare districts in Inyo County, with the stated purpose of preventing hospital closures in that remote region. The bill also adds legislative findings justifying a special statute for Inyo County and changes the vote requirement from a simple majority to a two-thirds majority. The original transparency provisions requiring public access to approved state plans and federal waivers are retained but renumbered.
Scope change
The bill's scope expands significantly from a general transparency measure (requiring public access to approved state plans and federal waivers) to also include a targeted $5.5 million appropriation for Inyo County hospitals, making it both a general transparency bill and a county-specific special funding statute.
FISCAL

Appropriates $5,500,000 from the General Fund to the State Department of Health Care Services for supplemental Medi-Cal payments to providers in Inyo County. Of this amount, $2,500,000 is designated for the Northern Inyo Healthcare District and $3,000,000 for the Southern Inyo Healthcare District.

The appropriation status changes from 'no' to 'yes,' confirming the bill now includes a General Fund expenditure.

SCOPE

Adds a new Section 14105.175 to the Welfare and Institutions Code specifically targeting Inyo County healthcare providers, making this a county-specific special statute rather than a general transparency measure.

REQUIREMENT

Adds legislative findings and declarations stating that a special statute is necessary because of unique and urgent circumstances facing the two hospitals in Inyo County, which operate in one of the most remote and sparsely populated regions of the state with limited alternative access to care.

ENFORCEMENT

Changes the required vote from a simple majority to a two-thirds (2/3) majority, reflecting the addition of an appropriation that requires supermajority approval.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
5
Key actions
1
Committee
3
Amendments
1
Apr 6, 2026
Committee
Re-referred to Com. on HEALTH.
lower
Mar 27, 2026
Introduced
From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
lower
Mar 16, 2026
Committee
Referred to Com. on HEALTH.
lower
Feb 21, 2026
Lower · Passed
From printer. May be heard in committee March 23.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of David Tangipa
David Tangipa
RRepublican
CA
8